ALEX ETZENHOUSER

DELTA, CO
NPI1720788706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0015265)
Enumeration Date2023-03-07
Last Update Date2023-03-07
Business Address
ALEX ETZENHOUSER PTA
257 COTTONWOOD ST
DELTA, CO 81416-4400
Phone number: 970-874-6111
Mailing Address
ALEX ETZENHOUSER PTA
PO BOX 540640
NORTH SALT LAKE, UT 84054-0640
Phone number: 801-987-8600